Robeson County reports about 1147 chlamydia cases per 100,000 residents, well above the US average. If you've had a recent risk or simply test on a regular schedule in Horse Neck, North Carolina, weigh clinics that may bill insurance against private labs with flat self-pay prices. See your options below.
Available testing centers
7 testing options are listed for Horse Neck, NC. The nearest, St. Pauls Health Center, is about 3.5 miles away. Compare community and public clinics, private labs, and at-home kits below.
Listings tagged Community health center are federally funded health centers and rural clinics that treat everyone regardless of insurance or ability to pay: required to bill on a sliding fee scale and provide confidential care, and in many states minors may consent to their own STI testing. A Title X tag flags centers funded for confidential family-planning services; confirm current participation when you call.
Source: CMS FQHC & Rural Health Clinic enrollment files (data.cms.gov), refreshed quarterly. Title X status reflects the latest OPA grantee list.
A public safety-net federally qualified health center about 4 miles from Horse Neck. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Robeson Health Care in Saint Pauls runs its full STI panel (HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB) on a sliding-scale fee structure, with appointments required and same-visit treatment available for bacterial infections, all at no cost.
Sliding-scale pricing usually means reduced costs, not eliminated ones. A balance still lands after the visit. At Robeson Health Care, the fee structure goes further: every service, from testing through treatment to vaccines, carries no charge. The sliding scale reaches zero.
Navigating STI care without a regular provider is harder when the clinical conversation happens in a second language. Robeson Health Care delivers services in Spanish directly (medication adherence counseling, test results, treatment guidance) so nothing critical depends on a patient reconstructing meaning after the fact.
Stopping at gonorrhea, chlamydia, syphilis, and HIV leaves herpes and hepatitis untested: infections that then require a separate appointment, a separate lab, and more time before treatment begins. Robeson Health Care tests for herpes, hepatitis A, B, and C, and TB alongside the core panel, closing that gap at the first visit.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
CommWell Health in Tar Heel brings STI care through a community health center model, covering gonorrhea, chlamydia, syphilis, and rapid or conventional HIV testing alongside same-visit bacterial treatment, HPV and hepatitis vaccines, and a sliding-scale fee structure. With all services provided at no fee.
All services at CommWell Health carry no fee, meaning the full scope of testing, treatment, vaccines, and counseling is available without a bill at the end of the visit, so cost never shapes which services a patient accepts or skips.
Spanish-language care is provided directly at CommWell Health, so Spanish-speaking patients can discuss symptoms, history, and results with the same fluency they bring to any other medical conversation. Nothing gets flattened in translation.
CommWell Health tests for hepatitis A, B, and C in addition to gonorrhea, chlamydia, syphilis, and HIV, which means a single appointment surfaces liver-affecting infections that share transmission routes with the standard panel but often go unscreened.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
Free tool · not a clinic
Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.
| Infection | Earliest reliable test | Conclusive after |
|---|---|---|
| Chlamydia | 7 days after exposure | 14 days after exposure |
| Gonorrhea | 7 days after exposure | 14 days after exposure |
| Trichomoniasis | 7 days after exposure | 28 days after exposure |
| HIV (NAT / RNA) | 10 days after exposure | 33 days after exposure |
| HIV (4th-gen Ag/Ab) | 18 days after exposure | 45 days after exposure |
| HIV (antibody) | 21 days after exposure | 84 days after exposure |
| Syphilis | 21 days after exposure | 42 days after exposure |
| Hepatitis B | 21 days after exposure | 42 days after exposure |
| Hepatitis C | 56 days after exposure | 77 days after exposure |
| Herpes (HSV) | 28 days after exposure | 112 days after exposure |
Guidance only, confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.
Typical out-of-pocket ranges by option, actual cost depends on which tests you need.
Public / community clinic
Free HIV testing is common
Private lab (self-pay)
Never billed to insurance
At-home kit
Mailed to your door, private
Doctor / urgent care
Often $0 preventive with insurance
No centers match those filters. Clear the service-type filter or the opening-hours filters to see every center.
Every other option
Beyond the dedicated testing centers above: at-home kits by mail, hospital labs certified for STI testing, local clinicians who can order a panel during a regular visit, pharmacies for self-test kits and prescriptions, and online PrEP & treatment.
Test from home
The nearest testing center is about 4 miles away; if you'd rather skip the trip, an at-home kit ships to Horse Neck, you collect the sample privately, and mail it back to a CLIA-certified lab. Results come online in days, with a clinician available if anything is positive. Same labs as a clinic, no waiting room, and you can read how accurate at-home STD tests are before you order.
Want a free option first? The CDC-supported TakeMeHome (opens in a new tab) program mails free at-home HIV self-test kits, and, in many areas, free STI kits, to your door, with no insurance or payment needed. The paid kits below add broader panels and faster turnaround.
In-home collection
$79 & up
Best range: couples & full panels
$79 & up
Best value: single tests
$49 & up
Every kit uses CLIA-certified labs. At-home testing is for screening; a reactive result should be confirmed and treated by a clinician. Prices and panels shown are illustrative and change often, confirm current details on the provider's site.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Robeson County, each lab's town is shown on its card below. Many test through a doctor's order or by appointment rather than walk-in, so call ahead to confirm STD/STI testing and availability before visiting.
460 Country Club Road, Lumberton, NC 28360
CMS-certified lab Accredited · COLA
812 Candy Park Road, Pembroke, NC 28372
CMS-certified lab Accredited · COLA
200 Liberty Hill Road, Lumberton, NC 28358
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Horse Neck. A CLIA certificate records only that a laboratory is federally certified — it does not confirm the site performs STD testing, nor its hours, price or access. Inclusion is not an endorsement; always call to verify.
Local clinicians
Beyond dedicated clinics, 241 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Horse Neck. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 42 offer telehealth.
Kristina Hines, DO Telehealth
Family medicine · 1249 Chicken Foot Road, Hope Mills
Joel Onafowokan, MD
Internal medicine · 3758 South Main Street, Hope Mills
Alyssa Hackbarth, DO
Family medicine · 3622 North Main Street, Hope Mills
William Turlington, MD
OB-GYN · 800 Oakridge Boulevard, Lumberton
George Mozingo, MD
Urology · 815 Oakridge Boulevard, Lumberton
Nighat Khan
Internal medicine · 815 Oakridge Boulevard, Lumberton
These are registry-listed clinicians, not dedicated STD-testing clinics. CMS records do not independently verify current licensure, testing services, availability, price, or new-patient status. Confirm each detail before booking. Source: CMS Doctors & Clinicians.
Nearby pharmacies
No pharmacy near Horse Neck, NC publishes an STD-related service or holds a current CLIA testing certificate, so these are simply the closest. Contact a location directly to confirm counter hours, services, prices, and availability before visiting.
St. Pauls Drug
3.6 miBrisson Drugs
3.6 miKerr Drug
3.7 mi
3.7 mi 
4.3 mi Bladen Lakes Community Health Center
8.1 miShowing the 6 closest pharmacies to Horse Neck, NC.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
Testing is one step. For residents of Horse Neck, telehealth covers the rest: HIV-prevention medication (PrEP) and DoxyPEP to lower future risk, and discreet online treatment if a result comes back positive. All prescribed by licensed U.S. clinicians.
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.
STD stats & rates
How reported STI rates in Robeson County, the county that includes Horse Neck, compare with North Carolina and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#4 of 100 North Carolina counties for chlamydia, a higher rate than 96% of the state
| Infection | Robeson County | North Carolina | United States |
|---|---|---|---|
| Chlamydia | 1146.8 1,346 cases ▲ 89% | 607.9 | 492.2 |
| Gonorrhea | 514.6 604 cases ▲ 112% | 243.2 | 179.5 |
| Syphilis (P&S) | 31.5 37 cases ▲ 58% | 19.9 | 15.8 |
| Syphilis (early) | 24.7 29 cases ▲ 56% | 15.8 | 16 |
| Syphilis (late/unknown) | 69 81 cases ▲ 188% | 24 | 29.5 |
Rates per 100,000 population, 2023. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis). Population figures: U.S. Census Bureau ACS. These figures are the latest available surveillance estimates. Bars are scaled to the highest rate shown.
Reading these numbers: reported case rates only count infections that were actually tested for and diagnosed, so they track local screening effort as much as true spread: a higher rate can reflect more testing, a lower one less. Either way, most STIs cause no symptoms, so treat the figures above as context rather than a verdict, and test on the CDC's schedule regardless of how your area looks.
Between 2020 and 2023 in Robeson County, chlamydia has risen from 1040.1 to 1146.8 per 100,000 (10%), gonorrhea has fallen from 577.5 to 514.6 per 100,000 (11%), and P&S syphilis has risen from 4.3 to 31.5 per 100,000 (633%).
The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis).
Community health context
Sources: CDC PLACES (ZIP), County Health Rankings, CDC/ATSDR SVI, HRSA HPSA, HRSA MUA/P, Neighborhood Atlas ADI. Lower insurance coverage, fewer routine checkups, and a thin primary-care ratio all raise the value of low-cost public clinics and at-home testing in Robeson County.
Local HIV snapshot
Robeson County HIV care continuum (2023)
Robeson County recorded 28.2 new HIV diagnoses per 100,000 (2023), against 15.1 statewide and 13.7 nationally. Among Robeson County residents living with HIV, 81.6% are in care · 72.4% are virally suppressed. Early, routine testing is what moves these numbers: it is the entry point to PrEP, treatment, and viral suppression.
Sources: AIDSVu (Emory/Gilead) · CDC AHEAD · CDC AtlasPlus · CDC NCHHSTP AtlasPlus (county care continuum). The CDC recommends everyone aged 13–64 test for HIV at least once: every lab and clinic listed above offers HIV testing, and free rapid HIV testing is available at a local health department.
Congenital syphilis, passed from parent to baby in pregnancy, is the fastest-rising STI in the country. U.S. cases climbed from 2,163 in 2020 to 3,882 in 2023. It is almost entirely preventable: the CDC recommends a syphilis test at the first prenatal visit, and every clinic and lab listed for Robeson County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Homes in Horse Neck lean toward ownership and marriage in roughly equal measure, a profile where health decisions often get absorbed into family logistics rather than personal calendars. With average households running just over three people, a testing appointment competes with school pickups, shared vehicles, and the kind of scheduling that requires coordination rather than a solo choice. That household reality shapes who gets screened and when. Robeson County's STI rates give particular urgency to reaching younger adults in their late teens and twenties, the years when new relationships form and testing tends to feel least pressing. Horse Neck's labor-force participation is notably partial, meaning a substantial share of adults aren't tied to employer-based health access, and the unemployment rate adds financial unpredictability on top of that.
Even with over half of households clearing six figures, a monthly rent of around $800 still anchors a significant portion of renters' budgets tightly enough that out-of-pocket costs factor into every health decision. The area around Saint Pauls and St. Pauls Community Park has no practical walk-to-anything infrastructure: getting tested means arranging a drive, which raises the stakes for finding a clinic with hours that work around family and work commitments rather than despite them. The options listed here give households something real to compare before anyone has to rearrange their week.
Getting there
At 4.77/20 on the EPA walkability index, day-to-day errands in Horse Neck generally mean driving: plan on a car or rideshare to reach a clinic, and check each listing's hours and phone before you go.
Source: EPA National Walkability Index 2021.
ZIP 28384 snapshot
ZIP-level Census figures for the wider 28384 area around Horse Neck: a single ZIP can span several communities, so they describe the area, not Horse Neck alone.
Horse Neck sits in Robeson County, ZIP 28384. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Nearby cities & towns
Just outside Horse Neck? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
Reference
Everything to know before you test in Robeson County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under North Carolina law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Based on current CDC screening recommendations.
| Group | Tests | How often |
|---|---|---|
| Everyone aged 13–64 | HIV | At least once |
| Sexually active women under 25 | Chlamydia, gonorrhea | Every year |
| Women 25+ with new or multiple partners | Chlamydia, gonorrhea | Every year |
| Pregnant people | HIV, syphilis, hepatitis B & C, chlamydia | Early in pregnancy |
| Gay & bisexual men (MSM) | Chlamydia, gonorrhea, syphilis, HIV | Every 3–6 months |
| Anyone who shares injection equipment | HIV, hepatitis B & C | At least yearly |
| All adults at least once | Hepatitis C | At least once |
Testing too early can return a false negative, confirm timing with a Horse Neck-area provider.
| Infection | Earliest reliable test | Sample |
|---|---|---|
| Chlamydia | 1–2 weeks | Urine or swab |
| Gonorrhea | 1–2 weeks | Urine or swab |
| Trichomoniasis | 1–4 weeks | Urine or swab |
| HIV (NAT / RNA) | 10–33 days | Blood |
| HIV (4th-gen Ag/Ab) | 18–45 days | Blood |
| HIV (antibody) | 3–12 weeks | Blood / oral |
| Syphilis | 3–6 weeks | Blood |
| Hepatitis B | 3–6 weeks | Blood |
| Hepatitis C | 8–11 weeks | Blood |
| Herpes (HSV) | 4–16 weeks (antibody); swab a sore | Blood / swab |
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Horse Neck often test free or on a sliding scale; private labs and at-home kits bundle several tests into one fee. Use this as a per-test benchmark before you pay out of pocket, or see the full guide to STD test costs for insurance, free, and at-home options.
| Test | Reference price | CPT / HCPCS |
|---|---|---|
| Chlamydia (NAAT) | $47.80 | 87491 |
| Gonorrhea (NAAT) | $47.80 | 87591 |
| Trichomoniasis (NAAT) | $47.76 | 87661 |
| HIV-1/2 antigen/antibody | $26.87 | 87389 |
| HIV-1/2 antibody | $22.44 | 86703 |
| Syphilis (RPR/VDRL) | $5.61 | 86592 |
| Syphilis (treponemal antibody) | $17.49 | 86780 |
| Herpes (HSV NAAT) | $47.76 | 87529 |
| Hepatitis B surface antigen | $15.33 | 87340 |
| Hepatitis C antibody | $29.16 | 86803 |
Source: Medicare Clinical Laboratory Fee Schedule, CMS, 2025 rates (data.cms.gov). Reference rate for the lab assay only: a clinic visit, sample collection, or a bundled multi-test panel may cost more. Medicaid and most insurers cover STD screening at no out-of-pocket cost.
Two things that actually depend on North Carolina law: who can consent, and whether partners can be treated without their own visit. Everything else about testing privately is the same nationwide (see below).
In North Carolina, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
North Carolina permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication (or a prescription) to pass to your partner, no separate exam or appointment needed for them.
Keeping a test private works the same in every state. Whether an STD test shows on insurance (the EOB), how to test anonymously, and self-pay options that leave no insurance trail don’t change by location.
Learn more about confidential STD testing in North CarolinaSource: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.
Good to Know
Answers to the questions people ask most before getting tested.
Possibly, Hope Mills, NC is close; compare it by distance against St. Pauls Health Center.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Public clinics nearby offer free HIV testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 1,147 cases per 100,000 residents (2023), above the North Carolina average.
In North Carolina, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
There's no cure, but antivirals manage symptoms well and reduce transmission.
It's cured with antibiotics; treating partners together prevents reinfection.
It depends: a blood draw covers HIV, syphilis, and hepatitis, while urine or a swab covers chlamydia and gonorrhea.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.